[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-461429-105":59,"doc-detail-461429-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","does-resilience-correlate-with-mental-health-following-flexor-hallucis-longus-tendon-transfer-for-achilles-pathologies","Does Resilience Correlate With Mental Health Following Flexor Hallucis Longus Tendon Transfer for Achilles Pathologies?","","Resilience is defined as a person’s capacity to recover from perceived stress. The study investigates resilience trends and the relationship between resilience and mental health after flexor hallucis longus (FHL) tendon transfer performed for Achilles pathologies. Brief Resilience Scale (BRS) and PROMIS Mental Health (PROMIS MH) scores were collected prospectively and analyzed retrospectively, with Foot and Ankle Ability Measure (FAAM) used to reference postoperative functional change. Results examine changes over follow-up intervals and association between resilience and PROMIS MH.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/does-resilience-correlate-with-mental-health-following-flexor-hallucis-longus-tendon-transfer-for-achilles-pathologies/461429/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/does-resilience-correlate-with-mental-health-following-flexor-hallucis-longus-tendon-transfer-for-achilles-pathologies/461429.png","ImageObject",300,407,{"name":92,"@type":93},"Guten tag","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-02","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the purpose of the study on FHL tendon transfer and mental health?","Question",{"text":112,"@type":113},"The study aims to describe trends in resilience and evaluate the relationship between resilience and mental health after flexor hallucis longus tendon transfer for Achilles pathologies.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Which measures were used to assess resilience and mental health?",{"text":117,"@type":113},"Resilience was measured with the Brief Resilience Scale (BRS), and mental health was measured using PROMIS Mental Health (PROMIS MH). The Foot and Ankle Ability Measure (FAAM) was also assessed to reference postoperative foot-related physical function.",{"name":119,"@type":110,"acceptedAnswer":120},"What did the findings show about resilience and PROMIS MH after surgery?",{"text":121,"@type":113},"Resilience showed an increase at the two-week follow-up, and PROMIS MH significantly increased at the two-week interval. Resilience was significantly associated with PROMIS MH, while postoperative PROMIS MH did not show significant improvement beyond baseline up to one year.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},461429,1790807753,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":34,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},687212321768,"https://ap-avatar.wpscdn.com/avatar/a0010bdbe886d2fe77?x-image-process=image/resize,m_fixed,w_180,h_180&k=1789897067658708522","Review began 10/14/2025  \nReview ended 11/24/2025  \nPublished 12/10/2025  \n© Copyright 2025  \nLalehzarian et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CCBY 4.0. , which permits unrestricted use , distribution , and reproduction in any medium , provided the original author and source are credited.  \nDOI: 10.7759/cureus.98895  \nOpen Access Original Article  \nDoes Resilience Correlate With Mental Health Following Flexor Hallucis Longus Tendon Transfer for Achilles Pathologies?  \nSimon Lalehzarian 1 , LaMiah Hall 1, Tyler Kelly 1, Garrett Jebeles 1 , Marc Bernstein 1 , Keerthi Jaliparthy Aarvi Shah 1 , Apurv Gabrani 1, Fabio Pencle 1, Ashish Shah 1  \n1. Department of Orthopedic Surgery, University of Alabama at Birmingham, Birmingham, USA Corresponding author: Ashish Shah, [ashishshah@uabmc.edu](ashishshah@uabmc.edu)  \n1  \n,  \nAbstract  \nBackground: Resilience is a person’s ability to recover from a perceived stressor. Our paper aims to describe trends in resilience and to describe the relationship between resilience and mental health following flexor hallucis longus (FHL) tendon transfer for Achilles pathologies.  \nMethods: Brief Resilience Scale (BRS) and Patient-Reported Outcomes Measurement Information System Mental Health (PROMIS MH) scores were obtained prospectively and analyzed retrospectively. The Foot and Ankle Ability Measure (FAAM) was also assessed to provide a reference for postoperative changes in footrelated physical function during activities of daily living (ADL) and sports. Descriptive statistics were used to assess demographics as well as changes in resilience and PROMIS MH.  \nResults: Preoperative scores for BRS and PROMIS MH were 3.65 (0 .8046) and 49 .22 (9 .37) . Resilience showed an increase at the two-week follow-up to 3.66 (p=0 .6692) . PROMIS MH significantly increased at the twoweek interval from 49.22 to 50.11 (p=0 .0001) . Resilience was found to be significantly associated with PROMIS MH (p \u003C 0 .05) . Despite gradual improvements in FAAM-ADL and FAAM-Sports, postoperative PROMIS MH scores did not indicate a significant improvement in mental health beyond baseline up to one year postoperatively.  \nConclusions: Resilience shows no changes in value between the preoperative and postoperative state for FHL transfer and displays a significant correlation with PROMIS MH.  \nCategories: Orthopedics  \nKeywords: brief resilience scale, fhl transfer, flexor hallucis longus transfer, mental health, patient-reported outcomes, promis, resilience  \nIntroduction  \nFlexor hallucis longus (FHL) tendon transfer was first described in 1991 and has gained popularity for treating Achilles tendon pathologies, including Achilles rupture, tendinopathy, and insertional disorders [1- 3] . Because several surgical treatments, including V-Y advancement, turn-down flaps, and other tendon transfers, can be used to address Achilles tendinopathy, the prevalence of isolated FHL transfer procedures is difficult to assess [1,3] . Additionally, FHL tendon transfer is not always documented consistently, especially when it is used as an augmentation [4,5] . Regardless, it continues to be a common and effective treatment due to its promising functional outcomes and the adoption of minimally invasive endoscopic techniques [6-8].  \nFHL tendon transfers have been proven to exhibit high levels of overall patient satisfaction, with patient satisfaction rates between 86% and 95%[2,9, 10] . Current research focuses on changes observed preoperatively versus postoperatively or compared to a healthy baseline. Several papers have found improvements in patient-reported outcomes following operative management [10, 11]. In the past, proven legacy patient-reported outcome measures such as the Foot and Ankle Ability Measure (FAAM) were widely used to assess function and disability in individuals with foot and ankle disorders, including Achilles tendon pathology [12-14] . Patient-reported out","cbCaisXgo2gbth5Q","https://ap.wps.com/l/cbCaisXgo2gbth5Q","pdf",419726,"English","# Abstract\n## Background\n## Methods\n## Results\n## Conclusions\n# Introduction","[{\"question\":\"What is the purpose of the study on FHL tendon transfer and mental health?\",\"answer\":\"The study aims to describe trends in resilience and evaluate the relationship between resilience and mental health after flexor hallucis longus tendon transfer for Achilles pathologies.\"},{\"question\":\"Which measures were used to assess resilience and mental health?\",\"answer\":\"Resilience was measured with the Brief Resilience Scale (BRS), and mental health was measured using PROMIS Mental Health (PROMIS MH). The Foot and Ankle Ability Measure (FAAM) was also assessed to reference postoperative foot-related physical function.\"},{\"question\":\"What did the findings show about resilience and PROMIS MH after surgery?\",\"answer\":\"Resilience showed an increase at the two-week follow-up, and PROMIS MH significantly increased at the two-week interval. Resilience was significantly associated with PROMIS MH, while postoperative PROMIS MH did not show significant improvement beyond baseline up to one year.\"}]","Does Resilience Correlate With Mental Health Following Flexor Hallucis Longus Tendon Transfer for Achilles Pathologies? | PDF",1790761588,18]